The Hastings Center Report

(ISSN: 0093-0334)

This journal no longer participates in Medscape Publishers' Circle Program. No new articles will be republished.

Articles Available on Medscape

  • True North
    How did a couple decide how to proceed with the delivery of their child with arthrogryosis? Read this piece from the obstetrician/gynecologist and bioethicist who met with them.
  • Brain Death: Can It Be Resuscitated?
    Why is a patient with a destroyed brain considered dead rather than moribund and irreversibly comatose?
  • Helping People Out
    How can ethics guidelines address "unguidelineable" topics to professionals who provide end-of-life care?
  • Eyes Wide Open: Surgery to Westernize the Eyes of an Asian Child
    What are the rights of children and the legal role of their parents in relation to medical decision-making for procedures that offer no medical or functional benefit to the children?
  • Rethinking the Ethics of Vital Organ Donations
    Do our current practices of vital organ donation violate the dead donor rule? What is a coherent alternative ethical account of these practices that does not depend on this norm?
  • Pregnancy and Clinical Research
    Women's Health Initiative prioritized women's health needs and commissioned Institute of Medicine to study ethical/legal issues of including women in studies. Why are pregnant women still excluded?
  • Web of Care: How Will the Electronic Medical Record Change Medicine?
    More and more clinicians whose careers in medicine began before computers and the Internet are now being trained to transition to electronic medical records. Read more about one doctor's perspective.
  • Physician-Assisted Death in the United States: Are the Existing "Last Resorts" Enough?
    A citizens' initiative in Washington is proposing an Oregon-style law for legal access to potentially lethal meds for the terminally ill. What progress has been made in palliative/end-of-life care?
  • A Day Too Long: Rethinking Physician Work Hours
    Resident and fellow physicians now work shorter shifts as mandated by American training programs. But an attending physician realized that there was an exception to this rule. Read his story.
  • House Calls
    The elderly have a right to remain at home but if their home poses a risk to their physical well-being and their capacity is hard to ascertain, what do you do? A house call physician shares her story.
  • Ethics, Evidence, and Cost in Newborn Screening
    What are the ethical and policy issues that arise in debates on public newborn screening programs? The experience in Mississippi serves to highlight an important ethical issue in child health policy.
  • The Limits of Apology Laws
    Apology laws diminish clinicians'/administrators' reluctance to disclose medical errors and will encourage systemic changes needed to improve patient safety. But how will this play out in practice?
  • Research in the Physician's Office: Navigating the Ethical Minefield
    The ethical and practical issues that arise when clinical research moves from the academic medical center--with its IRBs, training and staff resources--to the doctor's office are explored in this case
  • Doctor vs. Scientist?
    Can physician-investigators reconcile their therapeutic obligation to provide medical care for their patients with their research-based obligation to engage in sound scientific practice?
  • Belief in a Just World: A Case Study in Public Health Ethics
    A case study is presented about PeachCare for Kids, a health insurance program that is Georgia's version of the State Children's Health Insurance Program.
  • Ending the Life of a Newborn: The Groningen Protocol
    The purpose of the Groningen Protocol is to set a standard of practice for doctors to responsibly end the lives of severely impaired newborns.
  • Improving Access to Health Care: A Consensus Ethical Framework to Guide Proposals for Reform
    Proposals for reforming the American health care system have focused on quality improvement, cost restraints and/or health care access. How might a consensus ethical framework evaluate such proposals?
  • How Do Patients Know?
    Health care decision-making among patients is more complex than recognized. How are patient autonomy and being informed through active gathering and comprehension of medical information related?
  • Case Study: All for One, or One for All?
    Access to cancer treatments in phase I testing is commented in this case study. Regarding the families affected versus the pharmaceutical industry, how should such a decision be made?
  • In Practice: Saving Sylvia Cleary
    What is the physician’s role with a high-functioning alcoholic? One physician recollects what she observed and learned from her clinical experience with a patient named Sylvia Cleary.
 
 
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Mission Statement: The Hastings Center Report publishes original scholarship on issues in the areas of health, medicine, and the environment as they affect individuals, communities, and societies.

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